Remote Care Outreach & Member Engagement Specialist

Community Care of North Carolina; Cary (NC); Remote; USD 36,000 - 48,000; Full time

Benefits offered by this job

Competitive benefits package

Bonus incentives

Job summary

Community Care of North Carolina (CCNC) is seeking a Member Engagement Specialist to perform telephonic outreach and screening for care management. This remote role supports regional coverage across North Carolina, collaborating with providers and staff to implement interventions and refer at-risk members for care management.

Ideal candidates bring healthcare exposure, strong communication, and a customer-service oriented mindset.

Qualifications

• Minimum of two years previous work experience, preferably in a health care setting.
• Healthcare experience and medical terminology knowledge highly preferred.
• Bilingual preferred
• Managed care experience a plus

Responsibilities

• Conduct continual telephonic outreach to identified and referred members focused on engaging members with care management services.
• Receive and manage referrals from data reports; clinical care management team members, PCP, or other service providers for efficient screening and linking members with care management.
• Complete and document member screenings tools and refer clinical needs to most appropriate clinical care management team member for assessment and follow up.
• Schedule members for face-to-face or telephonic encounters for care management follow up.
• Meet daily and monthly program productivity and engagement metrics.
• Abide by HIPAA regulations and departmental guidelines.

Skills

Initiative

Communication

Attention to detail

Time management

Interpersonal skills

Critical thinking

Multi-tasking

Customer service

Education

High School/GED

Tools

MS Office

Care Management Systems

Data systems

Job description

Community Care of North Carolina (CCNC) is seeking a Member Engagement Specialist to perform telephonic outreach and screening for care management. This remote role supports regional coverage across North Carolina, collaborating with providers and staff to implement interventions and refer at-risk members for care management.

Ideal candidates bring healthcare exposure, strong communication, and a customer-service oriented mindset.